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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-6C <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> Site ID U-Haul #709-50 ❑ Other <br /> Protect No 002-70950-04 Well Material ■ PVC © St Steel <br /> Recorded By _Greg Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date 91V ria-' Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> ■ 2-inch ❑ 4-inch ❑ 6-inch [] Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) ❑ Other <br /> Water Level Depth(WL in feet BTOC) Pump intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ Near Bottom El Near Top El Other <br /> 03 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> I Purge Volume Calulation Screen Interval in Feet(BTOC) from 70 <br /> z to 90 <br /> g77 t'n — - _;2z X 2 X 3 X 0 0409 = f! f-7 gallons <br /> L TD(feet) WL(feet) D(inches} #Vols Calculated Purge Volume <br /> Pump Time JPurge Rate Actual Purge Volume <br /> Start IS315 Mr7me Elapsed Initial gpm (Z gallons <br /> IField Parameter Measurements Final gpm <br /> TimeGallons Purged DO% DO(mglL) (umhoslcm) (umhoslcm) Salinity Temp pH Notes <br /> E13 yo a 9 _ - <br /> i <br /> Observations During purging(well Condition,Turbidity,Color,Odor etc � <br /> Purge Water Storage/Disposal ❑ Drum(s),Number [] Storm Sewer ❑ Sanitary Sewer <br /> I Other!Comments Purge water contained in on-site 1,000 gallon poly tank pending analysistdisposal <br /> WELL SAMPLING <br /> I Sampled BySampling Date -7/lcy� Sampling Times <br /> Sampling Method f Water Level Before Sampling(in feet BTOC) <br /> [Bailer-Type -4' ❑ same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution= Sample Series <br /> ISample No ��-- Containers Vol,# Analysis— Preservative Lab — Comments- K_ 'rte. __ D <br /> IOther Notes <br />